Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatograpy in Very Elderly Patients / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 237-242, 2011.
Artículo
en Coreano
| WPRIM
| ID: wpr-142688
ABSTRACT
BACKGROUND/AIMS:
Endoscopic retrograde cholangiopancreatograpy (ERCP) is often used for the diagnosis and treatment of pancreaticobiliary diseases in the elderly patients. However, few studies have assessed its efficacy and safety in the very elderly. The purpose of this study was to evaluate the clinical outcomes of ERCP in the very elderly patients.METHODS:
Eight hundreds two patients who underwent ERCP at Seoul National University Bundang hospital were enrolled retrospectively. They were divided into three groups according to their ages (non-elderly group, elderly group and very-elderly group; or =80, respectively). The indications and clinical outcomes including the complications of ERCP were compared among groups.RESULTS:
The most common indication of ERCP was acute cholangitis in all the three groups. Periampullary diverticulum was more frequently observed in elderly and very-elderly patients than in younger patients. Mean duration of hospitalization was not different among three groups. ERCP success rate in all enrolled patients was approximately 90%, and there was no difference in terms of technical success rate between groups (p=0.1). However, the number of ERCP sessions was significantly higher in the very-elderly patients compared to in the non-elderly and elderly (1.38 vs. 1.13 and 1.18 respectively; p<0.001). There was no difference in mortality and complication rate between groups.CONCLUSIONS:
ERCP can be performed safely in very-elderly patients. Therefore, only age should not be regarded as one of the major determining factors whether to perform ERCP.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Enfermedades Pancreáticas
/
Colangitis
/
Enfermedad Aguda
/
Estudios Retrospectivos
/
Colangiopancreatografia Retrógrada Endoscópica
/
Factores de Edad
/
Divertículo
/
Enfermedades del Conducto Colédoco
/
Tiempo de Internación
Tipo de estudio:
Estudio observacional
Límite:
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Gastroenterology
Año:
2011
Tipo del documento:
Artículo
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